Last updated: 9 February 2026
"Staff feel supported in an open culture with enough staffing, but management checks miss care plan gaps and safety risks like choking aren't fully managed."
Risks associated with people's care were not always fully assessed and well-managed. For example, a person's care plan did not include guidance for staff to help mitigate the risk of them choking, a known risk.
Staff felt supported by the registered manager who promoted an open and inclusive culture. One staff member said, 'I feel valued and supported by the registered manager, we all work well as a team.'
People told us enough staff were on duty to meet their needs. Staff were available when people needed them during our visit and people's requests for assistance were responded to promptly.
Records showed staff had completed mandatory training. However, during our visit we observed staff did not always implement their training effectively in their everyday practice. For example, we saw staff handling soiled linen incorrectly.
Although systems and processes were in place to drive improvements within the home, further improvement was needed, as the concerns we found during our inspection had not been identified. For example, audits of care plans had not identified an epilepsy and end of life care plan were not in place.
Managers checks miss problems like missing care plans for epilepsy and end-of-life care.
audits of care plans had not identified an epilepsy and end of life care plan were not in place.
Some risks like choking are not fully covered in care plans for staff to follow.
a person's care plan did not include guidance for staff to help mitigate the risk of them choking, a known risk.
Staff numbers are enough to meet basic needs but nothing more, no info on team stability.
People told us enough staff were on duty to meet their needs.
AI Generated
Last inspected: June 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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